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Includes Letter of Intent, Cover Letter, Resume, References, Letters of Recommendation, Extracurricular Activities, BLS, Certifications, Professional Associations, Projects, College Transcripts.

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Published by LisaNordella, 2018-04-30 12:33:39

Lisa Nordella's BSN Portfolio

Includes Letter of Intent, Cover Letter, Resume, References, Letters of Recommendation, Extracurricular Activities, BLS, Certifications, Professional Associations, Projects, College Transcripts.

LisaNordella

BSN, RN, PHN

(expected Summer 2018)



(805)705-9803 [email protected]
















BLS ACLS PALS*
NIHSS Certified

* expected in May 2018

Table of Contents

⇒ Letter of Intent - SBCH
⇒ Cover Letter
⇒ Resume
⇒ References
⇒ Letters of Recommendation
⇒ Extracurricular Activities
⇒ BLS
⇒ Certifications
⇒ Professional Associations
⇒ Projects
⇒ College Transcripts

LisaNordella, BSN, RN, PHN (expected summer 2018)

[email protected] (805) 705 9803 https://lisanordella.wixsite.com/lnbsn

04/07/2018
Santa Barbara Cottage Hospital

To Whom It May Concern:

With Santa Barbara being the beautiful city that it is, there will always be nurses relocating and
applying to Cottage Hospital. Those nurses will be more experienced than I am in many ways,
and will be for a few years to come. What those nurses do not have, is a lifetime of memories
and a family history of working for the best hospital in the area.

My family moved to Santa Barbara before my father was born, when my grandfather
relocated to begin work at SB Cottage Hospital. George Scott, my grandfather, was a
gastroenterologist and Chief of Staff during his career, with his photograph still hanging in the
halls. My aunt, Jane Scott, has worked in the Operating Room at SBCH for her entire career as
a nurse, over twenty years. Both my cousin and my brother took temporary jobs at SBCH
before attending their respective medical schools. To say this hospital feels like home, is not an
overstatement.

I have been surrounded by the medical field for as long as I can remember. I was exposed to
the lifestyle of a nurse at a young age, and feel like I have already been given the tools to
succeed. Watching my aunt use her time off work to do her favorite hobbies and de-stress
from a long day, I know I will be able to do the same after hard days. Learning about people’s
ailments and hearing of tragic events, I know I will be able to push through and focus on the
tasks at hand in a very busy ED. Being on a first name basis with multiple doctors due to my
grandfather’s status, I have grown up knowing that these doctors are humans just like
everyone else. Humans can do amazing work, but they can also make mistakes. Because of
this, I will know when it is time to voice my opinion regarding a patient’s best interest without
being worried about the potential reprimand.

It would be the opportunity of a lifetime to be a part of the Santa Barbara Cottage Hospital
Emergency Department team. I was born at Cottage Hospital, and when I begin work as an
RN there, it will feel as if I have come full circle.

Sincerely


Lisa Nordella

LisaNordella, BSN, RN, PHN (expected Summer 2018)

[email protected] (805) 705 9803 https://lisanordella.wixsite.com/lnbsn

04/25/2018
Santa Barbara Cottage Hospital

Dear To Whom it May Concern:

Imagine a bustling restaurant at 4:00 PM on Superbowl Sunday. Now find the servers,
bartenders, and bussers in that restaurant. They are all calm and collected while managing
multiple requests from different people at varying levels of need. With over ten years of
experience in the restaurant industry, that is me.

It’s the middle of the morning at Care Harbor, a free clinic providing the underserved
population with free medical, dental, and vision care along with supporting education. There
is a man asking a student nurse about his new diagnosis. He knows that he has high blood
pressure and has had it for some time now, but he also states that he does not know what
Hypertension is and does not believe he has a disease by this name. The student nurse uses
drawings and simple terms to educate this man on the large words that are in the pamphlets
the doctor has given him to read. He leaves the clinic that day knowing that Hypertension is
another word for his prolonged high blood pressure readings, and how to combat this with a
healthy diet. Happening just a few months ago in Los Angeles, again, that is me.

A beautiful afternoon in a retirement community, with a family of aunts, uncles,
grandchildren, and grandparents gathered together in a small home. The patriarch of the
family has fallen ill and is on Hospice, with a few days left to live. When no one is in the room
with him, he tries to stand from his bed and use the urinal placed on the bedside table. He is
too weak to stand and slumps to the ground. His granddaughter comes in to find him on the
ground, still needing to urinate. She uses her strength and knowledge of good body
mechanics to help him reach a sitting position on the bed, as well as helps him hold the urinal.
When he is done, she assists him back into the bed and makes sure he is comfortable and
presentable for the rest of the family to say their goodbyes. This is me.

As a new graduate nurse I do not possess as much clinical experience in the acute
care setting as many other nurses applying for positions in the Emergency Department, but
because of my 'non-clinical' skills, I am actually one of the better candidates. Engaging,
listening to, working with, and caring for people is what I do best - even in the most stressful
environments. I know that I have the compassion, integrity, work ethic, and drive to be an
incredible addition to the Emergency department team Santa Barbara Cottage Hospital.

Sincerely

Lisa Nordella

LisaNordella

BSN, RN, PHN (expected Summer 2018)

[email protected] (805) 705 9803

https://lisanordella.wixsite.com/lnbsn
www.linkedin.com/in/lisa-nordella




EDUCATION

BACHELOR OF SCIENCE IN NURSING BACHELOR OF ART IN ART HISTORY
+ California State University, Channel Islands + San Diego State University

+ Preceptorship in Medical Surgical – Telemetry Step
Down Unit (1WC) at SBCH

+ Senior Leadership Research & Development in

Emergency Department Returns at VCMC


LICENSURES & CERTIFICATIONS

CALIFORNIA REGISTERED NURSE (RN) LICENSE (anticipated August 2018)

BASIC LIFE SUPPORT (BLS) CERTIFICATION (expires 08/2018)
ADVANCED CARDIAC LIFE SUPPORT (ACLS) CERTIFICATION (expires 04/2020)
PEDIATRIC ADVANCED LIFE SUPPORT (PALS) CERTIFICATION (expires 05/2020)

VENTILATOR, PULMONARY, & TRACHEOSTOMY CERTIFICATION
NIH STROKE SCALE CERTIFICATION (expires 2020)

PSYCHOLOGICAL FIRST AID TRAINING (8 HRS, American Red Cross)

CNA LICENSURE (Santa Barbara City College, expired 05/2017)
MANDATED REPORTER (General & Medical Professional)



EMPLOYMENT

SERVER – Eggs and Things Restaurant I 2016 – Present
MEDICAL ASSISTANT – ENT Associates of Santa Barbara, Medical Center I 2014 – 2016

MEDICAL ASSISTANT – Joel Brandt, MD, Medical Office I 2014 – 2015



HONORS

SANTA BARBARA COTTAGE HOSPITAL FOUNDATION MAXIMUS STUDENT AWARD CSUCI - FINALIST

SCHOLARSHIP + Honors student who has enriched the campus

+ For the 2017/2018 calendar year community by service, mentorship, and striving to a better
future



PROFESSIONAL ACTIVITIES & ORGANIZATIONS

SB COTTAGE HOSPITAL NEUROSCIENCE CONFERENCE AMERICAN ASSOCATION OF CRITICAL CARE NURSES

MATERNAL HEALTH CONFERENCE BY L.A. CARE HEALTH EMERGENCY NURSE’S ASSOCATION

NSNA MIDYEAR CONFERENCE STUDENT NURSE’S ASSOCIATION & RED CROSS CLUB
16TH ANNUAL TRAUMA CRITICAL CARE SYMPOSIUM CSUCI STUDENT LED JOURNAL CLUB
CARE HARBOR LOS ANGELES VOLUNTEER CSUCI ACADEMIC APPEALS COMMITTEE

SNA GLOBAL HEALTH SYMPOSIUM CSUCI STUDENT HEALTH ADVISORY COMMITTEE

SNA GLOBAL HEALTH SYMPOSIUM PLANNING COMMITTEE




VOLUNTEER WORK

STUDENT NURSE’S ASSOCATION COMMUNITY CLINIC & OUTREACH VOLUNTEER I 2016 to Present

BEACH BUDDY – Best Day Foundation, over 30 hours performed I 2016 to Present

FLU CLINIC VOLUNTEER – CSUCI Main Campus Student Flu Clinic I 2017 to Present
TUTOR – CSUCI Nursing Program I 2017 to Present

SCRIBE – Doctors Without Walls I 2015 to 2017

References

⇒ Kathyrn A. Yates, PhD, RN, CEN

Staff RN, SBCH Emergency Department
(949) 395 – 2036
[email protected]

⇒ Jane Scott, RN

Charge RN at SBCH Operating Room
(805) 455 - 0320
[email protected]

⇒ Ashlee Siegel, RN

Staff RN, SBCH Med-Surg 3 Ridley Tree
(805) 252 – 2221
[email protected]

⇒ Noreen M. Kreisher, MSN, RN

DNP Candidate
(805) 696 - 7965
[email protected]

⇒ Aaron McColpin, RN, DNP, FNP, RRT

DNP, St. John’s Regional Medical Center
(805) 696 - 7965
[email protected]

Letters of
Recommendation

⇒ Kathyrn A. Yates PhD, RN, CEN

Professor of Nursing (California State University
Channel Islands)
RN at SBCH Emergency Department

⇒ Noreen Marie Kreisher MSN, RN, DNP(candidate)

Clinical Simulation Lab Instructor (California State
University Channel Islands)

⇒ Aaron McColpin RN, DNP, FNP, RRT

Professor of Nursing (California State University
Channel Islands)
NP at St. Johns Regional Medical Center

⇒ Milagros Tabije-Ebuen DNP, MSN-NE, RN, CPEN,

PCN, CCRN
Professor of Nursing (California State University
Channel Islands)
RN at VCMC Intensive Care Unit





NURSING PROGRAM

March 9, 2018

To Whom It May Concern:

I am pleased to write a letter of recommendation for Lisa Nordella to your organization for
the position of Registered Nurse. I have known Lisa for the past two years as a nursing student at
California State University Channel Islands (CSUCI). It has been my pleasure to have her in several
didactic and clinical courses along with working with her on a very technical research project. As
her professor, I have had an opportunity to observe her participation and interaction in class and to
evaluate her clinical knowledge along with patient interaction. Lisa is truly one of the BEST students
that I have ever had the privilege to work with. She is one of the students that I am sure that will
truly be an exceptional nurse and I expect great things for Lisa in any organization she is affiliated
with.

After working for a long time in healthcare and education I feel that Lisa will be one of the
next nursing generation’s leaders and as an educator, I know that we will leave the profession in
excellent hands. Please do not let the opportunity slip by to not have Lisa as part of your
organization. No one wants to be the one who missed the opportunity to hire the next Clara Barton
or Sister Callista Roy and I know that she has the potential and drive to be that remarkable. She has
an excellent intellect and sensitivity toward her nursing care. Lisa has been one of the leaders within
her cohort as a leader in the Student Nurse Association (SNA), Red Cross, Academic Appeals
Committee, and the university’s student health advisory committee. In addition to these student
organizations she was instrumental in a research project for the Ventura County Medical Center
Emergency Department 72-hour readmission rates. She was one of the leaders on the project that has
lead to improvements in patient care within the organization.

Lisa has proven that through hard work, follow though, and team work, she can accomplish
tasks in a courteous and timely manner. Lisa is well equipped to grow from challenges that she is
presented with and is always willing to put her patients first. In short, Lisa has a very bright future in
nursing. She has a great drive to be an excellent caregiver, is known for being a team player, and
has a strong work ethic, which has prepared her beautifully for your organization. I strongly endorse
making Lisa a member of your team and please do not hesitate to contact me for any further
clarification on what a great asset she will be as a Registered Nurse within your organization.

Sincerely,

Dr. Aaron McColpin
Assistant Professor of Nursing
805-377-2471
[email protected]

One University Drive, Camarillo, California 93012-8599 Tel: (805) 437-8967 Fax: (805) 437-8864 www.csuci.edu

NURSING PROGRAM

April 12, 2018

To Whom It May Concern,

I have had the pleasure of having Lisa Nordella in my Critical Care course at the CSU
Channel Islands BSN program during her 4th semester. Seeing Lisa’s dedication and hard
work through her classes has been most delightful to watch. During simulation lab, she
competently provided safe and quality care to patients with basic to complex needs. She is
very responsible, flexible, professional, and never had issues with time and attendance. Lisa
is calm, dynamic, and self-assured in her approaches to patient care and safety. She thrives in
a fast-paced environment and is a great multi-tasker. During clinical rotations, Lisa was
enthusiastic, focused, eager to learn, displayed great initiative, and was an effective team
player. It is apparent in her capability of dealing with intense and difficult situations that she
will make a great nurse.

Lisa is a vital part of the community, being a member of multiple organizations including the
Emergency Nurse’s Association (ENA), American Association of Critical Care Nurses
(AACN), and Student Nurses Association (SNA) to name a few. She has volunteered for a
collection of diverse organizations, those of which include Best Day Foundation, Santa
Barbara Cottage Hospital’s Trauma Department, and Doctors Without Walls. Lisa is
constantly furthering her education by attending seminars and conferences. Her most recent
attendance was at the Disaster Awareness and Preparedness Conference at Santa Barbara
Cottage Hospital. Lisa has also immersed herself in research to better the nursing profession
even before becoming a nurse herself. She has led two separate evidence-based projects on
patient visits in the emergency room, at two separate hospitals.

I highly recommend Lisa, without any doubt or reservations to work in the emergency
department or other department. I am confident that Lisa will be an asset in your prestigious
organization. Please do not hesitate to reach out to me if you have any questions.

Sincerely,

Dr. Mila Tabije-Ebuen
Milagros Tabije-Ebuen, DNP, MSN-NE, RN, CEN, CPEN, PCCN, CCRN
Faculty, Nursing & Health Sciences
California State University Channel Islands
One University Drive
Camarillo, California 93010
Office: Solano Hall 1164
Cell: (805)O2n4e8U-n9iv9e8rs6ity Drive, Camarillo, California 93012-8599 Tel: (805) 437-1657 www.csuci.edu

Extracurricular

Activities

Volunteer Work

⇒ SBCH TRAUMA DEPARTMENT VOLUNTEER

+ ATLS trauma victim volunteer
+ Administrative duties, including pharmacy calls, etc.
+ Preparation for Annual Trauma Symposium in July

⇒ STUDENT NURSE’S ASSOCATION COMMUNITY CLINIC
& OUTREACH

+ Over 60 hours of community service including blood drives, first aid tents,
patient education, flu clinics, and general outreach.

⇒ BEACH BUDDY – Best Day Foundation

+ Over 30 hours performed.
+ Accompanied children with special needs.
+ Teamwork and compassion accompanied with other volunteers and children
on activities such as boogie boarding, sand castle building, etc.

⇒ FLU CLINIC – CSUCI Main Campus Student Flu Clinic

+ Participated in education and giving of over a dozen flu shots to students.

⇒ TUTOR – CSUCI Nursing Program

+ Tutor and mentoring of students in all subjects related to nursing. This includes
pathophysiology, psychology, pharmacology, lab skills, etc.

⇒ SCRIBE – Doctors Without Walls

+ Shadow/document physician’s actions/treatments of patients in a street
setting.
+ Treated > twenty homeless patients during a two hour clinic setting.
+ Set-up and Breakdown of pop-up clinics throughout city, with flexibility of on-
call scheduling and last minute changes in plans.

Extracurricular
Activities

Conferences

⇒ Santa Barbara Cottage Health
Neuroscience Conference

⇒ Maternal Health Conference

⇒ NSNA Midyear Conference

⇒ 16th Annual Trauma Critical Care
Symposium (SBCH)

⇒ 1st Annual SNA Global Health Symposium
(Board Member)

⇒ AACN Best Practice – Enhance Your Critical
Care Skills

⇒ Master the Disaster Training Symposium

⇒ 12th Annual Critical Care Symposium

⇒ SBCH Disaster Awareness and Preparedness
Symposium

⇒ Stop the Bleed at SBCH

Basic Life Support

Certifications

continued

8LMW MW XS GIVXMJ] XLEX

0MWE 2SVHIPPE

LEW GSQTPIXIH XLI GSYVWI
%WWIWWQIRX SJ 'LMPH 4L]WMGEP %FYWI 1IHMGEP 4IVWTIGXMZIW

1EVGL

4S[IVIH F] 8'4(* [[[ XGTHJ SVK

Certifications

continued

Certifications

continued

Lisa Nordella
01- NIHSS-English Group A-V3 - 1st Certification

This NIH Stroke Scale International (NIHSSI) Test contains 6 sections, each containing a single patient interview. You must
score all 6 patients at >84 out of 90 items correct to achieve certification. Depending on your institution requirements,

CERTIFICATE IS VALID FOR UP TO ONE -1- YEAR FROM THE DATE OF COMPLETION or a maximum of 2 years depending on the
requirements of your organization © 2013-Present All Rights Reserved.
Friday, March 09, 2018 CST

Certifications

continued

The Centers for Disease Control and Prevention (CDC)

certifies that

Lisa Nordella

has participated in the educational activity

Reproductive Health in Emergency Preparedness and
Response (Web Based)

WB2620
and is awarded
0.8 Contact Hour(s)

Certifications

continued

Certification of Completion Awarded To

Name: Lisa Nordella

License/Bar Number:_____________________________
For Online Training at www.mandatedreporterca.com

Mandated Reporter General Training

On

Date:

California Association of Marriage and Family Therapists (CAMFT): This course meets the qualifications for up to 4.0* hours of continuing education for
LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences. Provider approved by CEPA Provider #75651.
This course meets the qualifications for 4.0 hours of continuing education for BRN as required by the California Board of Registered Nursing, provider #CEP
14264.

Lisa Quinn, MHA
Education Coordinator

3020 Children’s Way
San Diego, CA 92123
MC 5017

Certification of Completion Awarded To

Name: Lisa Nordella

License/Bar number:

For Online Training at www.mandatedreporterca.com

Mandated Reporter Medical Training

On
Date:

This certificate is only valid when presented along with a certificate of completion
for the Mandated Reporter General Training as well.

This course meets the qualifications for 3.0 hours of continuing education for BRN as required by the California Board of Registered Nursing, provider #CEP 14264.

Lisa Quinn, MHA
Education Coordinator

3020 Children’s Way
San Diego, CA 92123
MC 5017

Certifications

continued

8LMW MW XS GIVXMJ] XLEX

0MWE 2SVHIPPE

LEW GSQTPIXIH XLI GSYVWI
4W]GLSPSKMGEP *MVWX %MH 3RPMRI

1EVGL

'VIHMX 2SR ') )EVRIH

4S[IVIH F] 8'4(* [[[ XGTHJ SVK

Professional
Associations

⇒ Emergency Nurse’s Association
⇒ American Association of Critical Care

Nurses
⇒ Red Cross Club (CSUCI)
⇒ Student Nurse’s Association (CSUCI)
⇒ SNA Global Healthy Symposium

Committee Member
⇒ Be the Match Club (CSUCI)
⇒ CSUCI Academic Appeals Committee
⇒ CSUCI Student Health Advisory

Committee
⇒ CSUCI Journal Club (student led)

Project Showcase

⇒ High Utilizers of the SB
Cottage Hospital ED

A retrospective study of high utilizers
("frequent flyers") of the Emergency
Department at Santa Barbara Cottage
Hospital during a 4 year period.

⇒ Do Birth Plans Promote a
Positive Birth Experience?

A review of the existing literature
surrounding birth plans and how their use
affects maternal childbirth satisfaction in
order to determine appropriate
recommendations for evidence-based best
nursing practice.

Cluster High Utilizers - Luke Barrett, CSUN MSW & Lisa Nordella, CSUCI Nursing

Introduction Healthcare Profile ED Utilization Trends Seasonal Differences Conclusion

The Santa Barbara Cottage Hospital Emergency Department provided care for 92,313 people between August, 2012 and August,
2016. Cluster utilizers were defined by this project as anyone who visited the Santa Barbara Cottage Hospital Emergency
Department 3 times or more within one week during that time period. 767 people (0.8%) met the inclusion criteria. The vast
majority (714) of those people visited the Emergency Department 3 times or more within one week a total of once or twice during
the 4 years defined above. Based on the published literature regarding Emergency Department utilization and discussion with
physicians, those people are likely to have used the Emergency Department appropriately.

53 of the people identified visited the Santa Barbara Cottage Hospital Emergency Department more than 3 times in one week at
least 3 times, with the most being 14 times. This project provides descriptive information about those 53 Cluster High Utilizers.

Cluster High Utilizers Age of Cluster High Utilizers

STATUS Age
CHU
No 6
4

2

Gender of Cluster High 0
Utilizers 27 32 42 46 49 51 53 55 57 60 62 64 66 68 83

Race/Ethnicity of Cluster High Utilizers Cluster High Utilizers: Homeless?

African American Latino 30
Latino White 20
White 10

Female Male

0 Yes
No

Cluster High Utilizers - Luke Barrett, CSUN MSW & Lisa Nordella, CSUCI Nursing

Introduction Healthcare Profile ED Utilization Trends Seasonal Differences Conclusion

Primary Care Provider of Cluster High Homeless (Yes/No)
Utilizers (Self Report) No
Yes

20 MediCal and Medicare
15
VA Medicare
P1r0imary Care Provider of Cluster High Utilizers (Self Report) MediCal & VA

5 Aetna Blue Cross
0
Kaiser

MediCal None

United Healthcare

American Indian
Health
Kaiser
None

Private Practice
Public Health
Sansum
SBNC
VA

Cluster High Utilizers - Luke Barrett, CSUN MSW & Lisa Nordella, CSUCI Nursing

Introduction Healthcare Profile ED Utilization Trends Seasonal Differences Conclusion

Use the menu below to select a specific cluster high utilizer patient.
 
#1 is the patient who met the cluster utilization criteria for the most number of weeks, followed by #2 who had the second highest score, and so on. Multiple values can be
displayed simultaneously.
 
The last option on the menu, "All CHU", shows the trend of all cluster high utilizers over this time period.

CHU Patients (Rank order, 1 = highest) Cluster High Utilizer Visits (2013, 2014, 2015)
Multiple values
7
1
2 6

Highlight a Patient 5
No items highlighted
Weeks 4

3

2

1

0 2014 2015
2013 Year of Date

Cluster High Utilizers - Luke Barrett, CSUN MSW & Lisa Nordella, CSUCI Nursing

Introduction Healthcare Profile ED Utilization Trends Seasonal Differences Conclusion

Cluster High Utilizer Visits (2013, 2014, 2015)

30

25

Cluster High Utilization (Weeks) 20

15

10

5

0 February March April May June July August September October November December
January

Cluster High Utilizers - Luke Barrett, CSUN MSW & Lisa Nordella, CSUCI Nursing

Introduction Healthcare Profile ED Utilization Trends Seasonal Differences Conclusion

“Attrition appears to be a hallmark of frequent use.”

(Lacalle & Rabin, 2010)

The findings in our project supported this concept. Cluster utilization of the Santa Barbara Cottage Hospital Emergency
Department was relatively stable over the 4 years reviewed, however utilization trends of individual patients varied
dramatically over time.

“Prior to implementing any given intervention, thorough identification of prevalent risk factors of frequent ED use, among ED
populations, must first be conducted to determine inefficiencies or gaps in the delivery of health services and the resultant
appropriateness of interventions.”

(Soril et al., 2015)

“Predictive modeling can identify patients who will become frequent users in the coming year at the time of their initial ED visit.”

(Billings & Raven, 2013)

"A multidisciplinary team… developed individualized care plans tailored to the specific medical and psychosocial complexities of
high utilizers… Post-intervention analysis shows reduced inpatient admissions and 30-day readmissions among this population
by 50%."

(Mercer et al., 2015)

27 of the 53 identified cluster high utilizers also ranked in the top 53 overall Emergency Department high utilizers for the same
time period. These findings suggest that while there is definitely overlap between cluster high utilizers and overall high utilizers,
there are also cluster high utilizers that are not included when tracking patients by overall Emergency Department utilization.

The patients who visit Santa Barbara Cottage Hospital Emergency Department may be influenced by a variety of biopsychosocial
risk factors that are unique to this geographic area. Due to the complex nature of determinants of health, further local research
is necessary prior to recommendation of any specific Emergency Department intervention designed to reduce inappropriate
utilization. Specifically, future research may consider what types of events trigger cluster utilization and what types of hospital
interventions end visit clusters. Further research also may consider searching for significantly different attributes between
cluster high utilizers and overall high utilizers, which could provide a foundation for new hospital interventions based on
Emergency Department utilization.

Do Birth Plans Promote a Positive Birth Experience?

Lisa Nordella & Taylor Scott • Dr. Carol Mack • Enter your Capstone class # or project #

Abstract Maternal Childbirth Satisfaction Conclusions & Future Research

Today, many expectant mothers choose to complete birth plans in order to In their classic single-blind study of 296 women, Kuo et al. (2010) compared While birth plans have existed in the United States for many years, there is still
communicate their preferences and expectations during labor and delivery. the childbirth experiences of those who had birth plans (experimental group) to room for changes in the current nursing practice regarding the use of these
However, the productiveness and practicality of birth plans is debated among those who did not complete birth plans (control group). Statistical analysis of their documents. Studies show that birth plans help promote patient-centered care and
healthcare professionals in the hospital setting. We completed an extensive results revealed that women belonging to the experimental group were allow nurses to better advocate for their patients’ preferences. Birth plans
literature review looking at how birth plans affect patient perceptions of the significantly more likely to participate during childbirth, experienced higher levels facilitate maternal control and engagement during the labor and delivery process.
childbirth experience. Current evidence suggests that birth plans increase patient of perceived control, and had overall more positive birthing experiences (Kuo et However, healthcare providers have some issues with how the current birth plan
engagement during the labor and delivery process and are associated with higher al., 2010). The researchers postulate that the use of birth plans increase maternal models are being used, with the need for more flexibility from patients being the
levels of patient satisfaction. In an era when patient-centered care is priority, the satisfaction because they enhance communication between the patient and most commonly discussed issue. With differing opinions, there is obvious need
value of birth plans should not be underestimated. healthcare team, increase patient preparation and knowledge, and allow for for more research and theory development. After reviewing these studies
increased patient self-determination during childbirth (Kuo et al., 2012). Other regarding birth plans and their impact on women’s birth experiences, there are
Controversy studies showing similar results attributed patient satisfaction to improved multiple key future research questions that should be explored.
communication and increased social support during the labor and delivery process Does the use of a midwife positively or negatively affect the fulfillment of a
The perceived effectiveness of birth plans remains largely controversial among (Farahat et al., 2015). woman’s birth plan?
practicing healthcare professionals. Evidence suggests there is negative bias from How does implementation of a birth plan affect the childbirth experiences of those
healthcare providers towards women who prepare for their childbirth with a birth Contrary to popular belief among healthcare professionals, birth plans are not belonging to different socioeconomic statuses, education, and ethnic
plan. A study composed of interviews of nurses in the perinatal units of four associated with negative birth outcomes. A retrospective case-control study by backgrounds?
different hospitals demonstrates this bias. The nurses were questioned about birth Hidalgo-Lopezosa, Rodriguez-Borrego, and Munoz-Villanueva (2013) showed Does the use of a birth plan benefit or hinder the birth experience of women with
plans, caring for a laboring woman, and what influences their ability to care for that women with birth plans were no more or less likely to require Cesarean high-risk pregnancies?
those women (Carlton et al., 2009). One of the most common themes ascertained section for delivery than those without a birth plan. Researchers have also pointed
from the study included “nurses have a clear aversion to written birth plans” to evidence that some women with birth plans may experience disappointment Literature Cited
(Carlton et al., 2009, p. 52). A different research study by Grant et al. (2010) with their childbirth experience if the preferences they set forth are not met
found that over 80% of residents questioned stated they believed there was a (Aragon et al., 2013). However, Kuo et al. (2010) assert that these negative Aragon, M., Chhoa, E., Dayan, R., Kluftinger, A., Lohn, Z., Buhler, K. (2013). Perspectives of expectant women and health care providers on birth plans.
correlation between birth plans and an increased risk for needing a cesarean perceptions of the childbirth experience are often related to healthcare Journal of Obstetrics and Gynaecology Canada. 35(11), 979-985.
section (Grant et al., 2010). These statistics show how broad and vast the negative professionals’ indifference to birth plans. It is essential that nursing staff take
bias of birth plans reaches healthcare providers. patient birth plans seriously to achieve the best patient experience. Carlton, T., Callister, L., Christiaens, G., Walker, D. (2009). Nurses’ perceptions of caring for childbearing women in nurse-managed birth units. The
American Journal of Maternal Child Nursing, 34(1), 50-56.
Characteristics of an Effective Birth Plan Cook, K. & Loomis, C. (2012). The impact of choice and control on women’s childbirth experience. Journal of Perinatal Education, 21(3), 158-168.
Farahat, A. H., Mohamed, H. E., Elkader, S. A., & El-Nemer, A. (2015). Effect of implementing a birth plan on women’s childbirth experiences and
In general, most research studies agree that a plan must be simple, concise, and maternal and neonatal outcomes. Journal of Education and Practice, 6(6), 24-31.
ever evolving to fit the woman and her child’s needs. Aragon et al. (2013) Grant, R., Sueda, A., Kaneshiro, B. (2010). Expert opinion vs. patient perception of obstetrical outcomes in laboring women with birth plans. Journal of
performed a study on the perspectives of women and health care providers on Reproductive Medicine, 55(1-2), 31-35.
birth plans. The study focused on what could be changed about the current birth Hidalgo-Lopezosa, P., Rodriguez-Borrego, M. A., & Munoz-Villanueva, M. C. (2013). Are birth plans associated with improved maternal or neonatal
plan process to make it more manageable for both providers and patients. As outcomes?. MCN: The American Journal Of Maternal Child Nursing, 38(3), 150-156. doi:10.1097/NMC.0b013e31827ea97f
stated in the discussion, Aragon et al. believes “a birth plan should include Suárez-Cortés, M., Armero-Barranco, D., Martínez-Roche, M. E., & Canteras-Jordana, M. (2015). Use and influence of delivery and birth plans in the
acknowledgement of the unpredictable nature of childbirth, and that women’s humanizing delivery process. Revista Latino-Americana De Enfermagem (RLAE), 23(3), 520-526. doi:10.1590/0104-1169.0067.2583
preferences should be open to change” (Aragon et al., 2013, p. 984). In agreeance
with Aragon et al., another study by Cook and Loomis (2012) used a qualitative
study to examine the effects of a changing birth plan on women’s satisfaction of
the overall experience. Findings were in favor of women being flexible while also
having a birth plan in place. The women who were not negotiable in their birth
planning process reported lower levels of satisfaction versus the women who were
flexible and able to negotiate new terms as the birth evolved (Cook & Loomis,
2012).

Unofficial Transcripts

⇒ California State University,
Channel Islands

GPA: 3.56
Preceptorship: SBCH 1 Wood-
Claeyssens, Telemetry Step-down
Medical Surgical Unit
Senior Leadership Project: VCMC
Emergency Department

Report Results

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**UNOFFICIAL FOR ADVISING**

California State University Channel Islands

Name : Lisa Nordella

Student ID: 001647192

Print Date : 2018-03-09

- - - - - External Degrees - - - - -

San Diego SU

2013-05-21 Bachelor of Arts

Reason : Web Transcript Request

- - - - - Beginning of Postbaccalaureate Record - - - - -

Spring 2016

Program : Postbaccalaureate Ext (Degree)

Plan : BS: Nursing Major

ANTH 443 MEDICAL ANTHROPOLOGY 3.00 3.00 A 12.000

Course Attr : Upper Division

D: Social Perspectives

Self Support Online

UDIGE: Interdisciplinary

Instructor : Amy Bellomy

NRS 200 INTRO PROF NURSING PRACTICE 3.00 3.00 B 9.000

Course Attr : Lower Division

Instructor : Neomie Congello

NRS 201 INTRO PROF NURSE PRACTICE LAB 3.00 3.00 CR

Course Attr : Lower Division

Instructor : Charlene Niemi

NRS 204 PHARMACOLOGY OF NURSING 1.50 1.50 B 4.500
11.100
Course Attr : Lower Division 36.600

Instructor : Robin Covey

NRS 306 PATHOPHYSIOLOGY 3.00 3.00 A-

Course Attr : Upper Division

Instructor : Robin Covey

TERM GPA : 3.486 TERM TOTALS : 13.50 13.50

CUM GPA : 3.486 CUM TOTALS : 13.50 13.50 36.600

Good Standing

Summer 2016

Program : Postbaccalaureate Ext (Degree)

Plan : BS: Nursing Major

NRS 240 PSYCH & MENTAL HEALTH NURSING 2.00 2.00 B 6.000
2.00 2.00 CR 6.000
Course Attr : Lower Division 4.00 4.00

Instructor : Charlene Niemi

NRS 241 PSYCH&MENTAL HEALTH LAB

Course Attr : Lower Division

Instructor : Jacqueline Sherman

TERM GPA : 3.000 TERM TOTALS :

CUM GPA : 3.408 CUM TOTALS : 17.50 17.50 42.600

Good Standing

Fall 2016

Program : Postbaccalaureate Ext (Degree)

Plan : BS: Nursing Major

NRS 220 Nursing Care Of Adults I 3.00 3.00 B 9.000

Course Attr : Lower Division

Instructor : Colleen Nevins

NRS 221 Nursing Adults W/ Acute&Chroni 3.00 3.00 CR

Course Attr : Lower Division

Instructor : Annamarie- Duplicate Rivas- Duplicate

NRS 230 Nrsicare Mothers, Infants/Wome 2.00 2.00 A- 7.400

Course Attr : Lower Division 7.400
23.800
Instructor : LaSonya Davis

NRS 231 Imothers, Infants & Wom Lab 2.00 2.00 CR

Course Attr : Lower Division

Instructor : Nathalie Confiac

NRS 304 Pharmacology Of Nursing II 2.00 2.00 A-

Course Attr : Upper Division

Repeat 2 times up to 4 units.

Instructor : Aaron McColpin

TERM GPA : 3.400 TERM TOTALS : 12.00 12.00

CUM GPA : 3.405 CUM TOTALS : 29.50 29.50 66.400

Good Standing

Spring 2017

Program : Postbaccalaureate Ext (Degree)

Plan : BS: Nursing Major

BIOL 432 Epidemiology&Environment 3.00 3.00 A- 11.100
12.000
Course Attr : B2: Life Science - Biology, Chemistry, Biochem

Upper Division

UDIGE: Interdisciplinary

Instructor : Amy Bellomy

NRS 222 Nursing Care Of Adults II 3.00 3.00 A

Course Attr : Lower Division

Instructor : Aaron McColpin

NRS 223 Care Of Adults Acute&Chrnc Lab 3.00 3.00 CR

Course Attr : Lower Division

Instructor : Kathryn Yates

NRS 350 Nursing Research 3.00 3.00 A 12.000
6.000
Course Attr : Upper Division
41.100
Instructor : Carol Mack

NRS 352 Health Promotion & Patient Ed 2.00 2.00 B

Course Attr : Upper Division

Instructor : Karen Jensen

TERM GPA : 3.736 TERM TOTALS : 14.00 14.00

CUM GPA : 3.525 CUM TOTALS : 43.50 43.50 107.500

Good Standing

Summer 2017

Program : Postbaccalaureate Ext (Degree)

Plan : BS: Nursing Major

NRS 232 Care Of Children & Families 2.00 2.00 A- 7.400
2.00 CR 7.400
Course Attr : Lower Division 4.00

Instructor : Michele Solakian

NRS 233 Nursing Care Of Children & Fam 2.00

Course Attr : Lower Division

Instructor : Melanie Cross

TERM GPA : 3.700 TERM TOTALS : 4.00

CUM GPA : 3.535 CUM TOTALS : 47.50 47.50 114.900

Good Standing

Fall 2017

Program : Postbaccalaureate Ext (Degree)

Plan : BS: Nursing Major

NRS 391 Transition To Practice 2.00 2.00 CR

Course Attr : Upper Division

Instructor : Colleen Nevins

NRS 401 Adv Clinical Assessment Lab 1.00 1.00 A 4.000
12.000
Course Attr : Upper Division
16.000
Instructor : Milagros Ebuen

NRS 420 Nursing Complex Patient 3.00 3.00 A

Course Attr : Upper Division

Instructor : Kathryn Yates

NRS 421 Nursing Complex Adult Lab 3.00 3.00 CR

Course Attr : Upper Division

Instructor : Aaron McColpin

TERM GPA : 4.000 TERM TOTALS : 9.00 9.00

CUM GPA : 3.586 CUM TOTALS : 56.50 56.50 130.900

Good Standing

Spring 2018

Program : Postbaccalaureate Ext (Degree)

Plan : BS: Nursing Major

NRS 452 Community Health Nursing 3.00
3.00
Course Attr : Upper Division

Instructor : Charlene Niemi

NRS 453 Community Health Nursing Lab

Course Attr : Upper Division

CS Numbers 15-17

Instructor : Charlene Niemi

NRS 460 Nursing Leadership&Prof Issues 3.00

Course Attr : Upper Division

Instructor : Karen Jensen

NRS 461 Nursing Leadership Lab 2.50

Course Attr : Upper Division

CS Numbers 15-17

Instructor : Amy Bellomy

TERM GPA : 0.000 TERM TOTALS : 0.00 0.00 0.000
130.900
CUM GPA : 3.586 CUM TOTALS : 56.50 56.50 130.900
56.50 56.50
Postbaccalaureate Career Totals

CUM GPA : 3.586 CUM TOTALS :

Requested By : Lisa Nordella

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